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Below are the key blood tests used in Sports Performance Blood Tests, each focusing on a specific hormone or indicator.
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The Bone & Stress Health panel evaluates skeletal strength and the body’s response to physical and mental stress, essential for athletes and active individuals. Alkaline Phosphatase (ALP), calcium (adjusted), phosphate, and vitamin D assess bone metabolism, mineral balance, and overall bone integrity, helping prevent injuries and support recovery. Cortisol measures stress hormone levels, indicating how the body responds to training and fatigue, while DHEA-S (Dehydroepiandrosterone Sulfate) reflects adrenal function and hormonal balance. Together, these markers provide insights into bone health, stress adaptation, and optimal performance.
A Full Blood Count (FBC) in a sports performance blood test provides essential insights into an athlete’s overall health and physical readiness. Haemoglobin and haematocrit indicate oxygen-carrying capacity, crucial for endurance and stamina. Mean Cell Haemoglobin (MCH), Mean Cell Haemoglobin Concentration (MCHC), and Red Blood Cell Mean Cell Volume (MCV) reveal red blood cell quality, which affects energy delivery to muscles. The Red Blood Cell Count tracks oxygen transport efficiency, while the White Blood Cell Count and its components—basophils, eosinophils, lymphocytes, monocytes, and neutrophils—monitor immune function and recovery potential. Platelet count ensures proper clotting, reducing injury risks. Together, these markers help athletes optimise performance, monitor training effects, and prevent fatigue or illness.
The Heart Health panel assesses cardiovascular function and the risk of heart disease, which is vital for both general health and athletic performance. Total cholesterol, LDL (low-density lipoprotein), and HDL (high-density lipoprotein) provide a snapshot of blood fat levels, while the Total Cholesterol/HDL ratio indicates overall lipid balance. Triglycerides measure circulating fats that can impact energy and cardiovascular health. Apolipoprotein A-I and B, along with the Apo B/A-I ratio, offer deeper insight into lipid transport and plaque risk. High Sensitivity C-Reactive Protein (hs-CRP) detects inflammation linked to heart disease, and the Cardiovascular Risk Score integrates these factors to evaluate overall heart health, helping guide lifestyle, nutrition, and training decisions.
The Kidney Health panel evaluates renal function and electrolyte balance, which are crucial for overall health, hydration, and athletic performance. Creatinine and Estimated Glomerular Filtration Rate (eGFR) assess how well the kidneys filter waste, while urea and uric acid indicate nitrogen and purine metabolism. Electrolytes—calcium (adjusted), chloride, magnesium, phosphate, potassium, and sodium—support muscle function, nerve signalling, and fluid balance. Bilirubin reflects liver and kidney interplay, helping detect metabolic or excretory issues. Together, these markers provide a comprehensive view of kidney efficiency, hydration status, and metabolic health.
The Male Hormonal Health panel evaluates key hormones that influence energy, muscle development, reproductive function, and overall well-being. Total testosterone measures overall androgen levels, while Sex Hormone Binding Globulin (SHBG) regulates hormone availability in the blood. The Free Androgen Index calculates the active, unbound testosterone, providing insight into functional hormone activity. Monitoring these markers helps assess hormonal balance, fertility, strength, recovery, and performance, and can guide interventions for optimising male health.
The Thyroid Health panel evaluates the function of the thyroid gland, which regulates metabolism, energy levels, and overall hormonal balance. Thyroid Stimulating Hormone (TSH) indicates pituitary control of thyroid activity, while Free Triiodothyronine (FT3) and Free Thyroxine (FT4) measure the active thyroid hormones circulating in the blood. Assessing these markers helps detect hypo- or hyperthyroidism, monitor metabolic health, and guide treatment to optimise energy, weight management, and overall performance.
Urinalysis is a key test to assess kidney, metabolic, and urinary tract health. Glucose and ketones indicate blood sugar control and fat metabolism. Nitrite and white blood cells (WBC) detect infection, while protein reflects kidney function. Red blood cells (RBC) and urobilinogen provide insight into kidney and liver health, and pH (acid loading) evaluates urine acidity and metabolic balance. Together, these markers help monitor hydration, detect early disease, and support overall health and performance.
The Diabetes Health panel evaluates blood sugar regulation and long-term metabolic control, which are critical for overall energy and performance. Glucose measures current blood sugar levels, reflecting immediate energy availability, while HbA1c provides an average of blood sugar levels over the past 2–3 months, indicating long-term glycemic control. Monitoring these markers helps detect early signs of insulin resistance or diabetes, optimise nutrition, and support sustained athletic performance and recovery.
The Female Hormonal Health panel evaluates reproductive and metabolic balance, which is essential for overall wellness and athletic performance. Luteinising Hormone (LH) regulates ovulation and menstrual cycle health, while testosterone influences energy, muscle development, and strength. Sex Hormone Binding Globulin (SHBG) controls hormone availability, and the Free Androgen Index measures active androgen levels in the blood. Together, these markers help assess hormonal balance, menstrual regularity, fertility potential, and the impact of hormones on training, recovery, and performance.
The Iron Panel is a key part of assessing an athlete’s oxygen delivery and energy metabolism. Ferritin reflects the body’s iron stores, essential for endurance and muscle function. Total Iron Binding Capacity (TIBC) and transferrin indicate the blood’s capacity to transport iron, while transferrin saturation shows how much iron is actually available for use. Monitoring these markers helps detect iron deficiency or overload, optimize hemoglobin production, support stamina, and prevent fatigue, making it crucial for sports performance and recovery.
The Liver Health panel evaluates liver function, metabolic efficiency, and overall detoxification capacity. Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) detect liver cell damage, while Alkaline Phosphatase (ALP) and Gamma-Glutamyl Transferase (GGT) assess bile flow and liver enzyme activity. Total Bilirubin measures the liver’s ability to process waste products, albumin reflects protein synthesis and nutritional status, and ferritin indicates iron storage, which can impact liver and metabolic health. Together, these markers provide a comprehensive view of liver performance, recovery, and overall metabolic well-being.
The Muscle & Joint Health panel evaluates muscle integrity, damage, and overall musculoskeletal function. Creatine Kinase (CK-MB) measures muscle enzyme levels, indicating muscle stress or injury, while myoglobin reflects muscle oxygenation and tissue breakdown. Monitoring these markers helps detect overtraining, assess recovery, prevent injury, and support optimal performance and joint health in athletes or active individuals.
The Total Antioxidant Status (TAS) panel assesses the body’s overall ability to neutralise free radicals and oxidative stress. It includes essential nutrients like Folic Acid (Vitamin B9), Vitamin B12, and Vitamin D, which support cellular health, energy metabolism, and immune function. Monitoring TAS helps evaluate nutritional status, prevent oxidative damage, and optimise recovery, performance, and long-term health.
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Ultimate Sports Performance Blood Test
Athletes and sports professionals can use this advanced health screen panel to gain a greater understanding of their health to help maximise performance. It can also be used by anyone looking to get a deeper understanding of their metabolic health.
Full Blood Count: Haemoglobin, Haematocrit, Mean Cell Haemoglobin (MCH), Mean Cell Haemoglobin Concentration (MCHC), Red Blood Cell Mean Cell Volume (MCV), Red Blood Cell Count, Basophil Count, Eosinophil Count, Lymphocyte Count, Monocyte Count, Neutrophil Count, White Blood Cell Count, Platelet Count.
Iron: Ferritin, Total Iron Binding Capacity (TIBC), Transferrin, Transferrin Saturation.
Heart Health: Total Cholesterol, LDL (Low-Density Lipoprotein) Cholesterol, HDL (High-Density Lipoprotein) Cholesterol, Total Cholesterol / HDL Cholesterol Ratio, Triglycerides, Apolipoprotein A-I, Apolipoprotein B, Apolipoprotein B / A-I Ratio, High-Sensitivity C-Reactive Protein (hs-CRP), Cardiovascular Risk Score.
Kidney Health: Creatinine, Estimated Glomerular Filtration Rate (eGFR), Calcium (Adjusted), Chloride, Magnesium, Phosphate, Potassium*, Sodium, Urea, Uric Acid, Bilirubin.
Urinalysis: Glucose, Ketones, Nitrite, pH (Acid loading), Protein, Red Blood Cells (RBC), Urobilinogen, White Blood Cells (WBC).
Liver Health: Alanine, Aminotransferase (ALT), Alkaline Phosphatase (ALP), Aspartate Transferase (AST), Gamma-glutamyl Transferase (GGT), Total Bilirubin, Albumin, Ferritin.
Total Antioxidant Status (TAS) & Nutritional Health: Folic acid, Vitamin B12, Vitamin D.
Muscle & Joint Health: Creatine Kinase CK-MB, Myoglobin.
Thyroid Health: Thyroid Stimulating Hormone (TSH), Free Triiodothyronine FT3, Free Thyroxine FT4.
Male Hormonal Health: Testosterone, Sex Hormone Binding Globulin (SHBG), Free Androgen Index.
Female Hormonal Health: Luteinising Hormone, Testosterone, Sex Hormone Binding Globulin (SHBG), Free Androgen Index.
Bone & Stress Health: Alkaline Phosphatase (ALP), Calcium (Adjusted), Phosphate, Vitamin D, Stress Health, Cortisol, DHEA-S (Dehydroepiandrosterone Sulfate).
Diabetes Health: Glucose, HbA1c.
Common Q&A about Ultimate Sports Performance Blood Test
Our FAQ section is designed to address common questions you may have, from how our treatments work to what you can expect during and after your session.
Our team is always available to provide additional support if you need more personalised guidance, ensuring that you feel informed and confident every step of the way.
Sports Performance Blood Tests are specialized blood tests designed to assess various biomarkers that can influence athletic performance, such as nutrient levels, hormones, inflammation markers, and overall metabolic health.
These tests help athletes optimize their training, nutrition, and recovery by identifying deficiencies, hormonal imbalances, or other factors that could be limiting their performance or increasing the risk of injury.
Common biomarkers include hemoglobin, hematocrit, iron levels, ferritin, vitamin D, testosterone, cortisol, thyroid function, creatine kinase, and markers of inflammation like C-reactive protein (CRP).
By identifying specific deficiencies or imbalances, athletes can make targeted adjustments to their diet, training, and supplementation, potentially improving endurance, strength, recovery times, and overall performance.
The frequency depends on the athlete's level of training, goals, and health status. Professional athletes might get tested every few months, while recreational athletes may benefit from testing annually or biannually.
Preparation might include fasting for 8-12 hours before the test, avoiding intense exercise for 24 hours prior, and following any specific instructions from your healthcare provider to ensure accurate results.
Results are typically available within a few days to a week, depending on the lab. Your healthcare provider or a sports nutritionist will review the results with you and suggest any necessary changes.
Yes, Sports Performance Blood Tests can identify markers of overtraining, such as elevated cortisol or creatine kinase levels, and inflammation markers that might indicate a higher risk of injury.
Coverage varies depending on your insurance provider and the specific tests being performed. Some tests may be covered if deemed medically necessary, but others might be considered elective and not covered.
The results should be interpreted by a healthcare professional with experience in sports medicine, such as a sports doctor, nutritionist, or physiologist, to provide tailored advice for optimizing performance.
